2014-11-10T08:53:58-06:00 2013-12-31 232932984 PARENTEBEARD LLC 1869 CHARTER LANE STE 301 LANCASTER PA 17601 990 2013-01-01 231365176 UNITED ZION RETIREMENT COMMUNITY UNIT 7176262071 722 FURNACE HILLS PIKE LITITZ PA 17543 PHILIP BURKHOLDER EXECUTIVE DIRECTOR, NHA 7176262071 2014-11-07 1 MICHAEL S FREY P00327329 7173935696 2013 2015-11-30 17:44:51Z PHILIP BURKHOLDER 722 FURNACE HILLS PIKE LITITZ PA 17543 11634228 0 X WWW.UZRC.ORG X 1905 PA SUPERIOR QUALITY SERVICES FOR THE ELDERLY BASED ON CHRISTIAN PRINCIPLES 9 9 186 37 0 0 65065 38728 7827301 8132726 877661 213068 202189 209552 8972216 8594074 2150 1250 0 0 4701133 4809495 0 0 8865 3355404 3656589 8058687 8467334 913529 126740 19098970 19891383 9089972 8326489 10008998 11564894 X OUR MISSION IS TO PROVIDE SUPERIOR QUALITY SERVICES TO THE AGING, BASED ON CHRISTIAN PRINCIPLES, IN A LOVING AND CARING COMMUNITY ENCOURAGING INDEPENDENCE, PROMOTING WELLNESS AND PRESERVING HUMAN DIGNITY. 0 0 7409599 1250 8132726 AT UNITED ZION RETIREMENT COMMUNITY, MAINTAINING AN INDIVIDUAL'S HIGHEST LEVEL OF INDEPENDENCE REMAINS OUR GOAL WHETHER SUPPORTING THEM IN OUR RESIDENTIAL COTTAGES OR APARTMENTS, IN OUR PERSONAL CARE FACILITY OR IN OUR HEALTHCARE FACILITY. EACH OF OUR UNITS AND FACILITIES HAS SOMETHING GREAT TO OFFER. OUR COTTAGES HAVE RESERVED PARKING OR GARAGES AND A DAY-LIGHT BASEMENT. THE APARTMENTS HAVE PORCHES, GENEROUS STORAGE AND THE ADDED BENEFIT OF BEING CONNECTED TO COMMON AREAS AND DINING VENUES. OUR PERSONAL CARE FACILITY PROVIDES 24 HOUR ASSISTIVE CARE IN ONE BEDROOM OR EFFICIENCY STYLE APARTMENTS, WITH ACCESS TO DINING VENUES, AND DAILY ACTIVITY OPTIONS INCLUDING MORNING DEVOTIONS IN THE CHAPEL. THE HEALTHCARE FACILITY PROVIDES RESIDENTS WITH 24 HOUR NURSING CARE IN A MODERN PRIVATE OR SEMI-PRIVATE ROOM, COMPLETE WITH EUROPEAN-STYLE BATHS AND FLAT-SCREEN TV'S. UNITED ZION RETIREMENT COMMUNITY HAS A LONG STANDING TRADITION FOR HIGH QUALITY CARE NOT ONLY FOR LONG-TERM RESIDENTS UP TO AND INCLUDING EXCELLENT END OF LIFE SUPPORT BUT ALSO FOR SHORT-TERM REHAB TO HOME RESIDENTS. OUR DEPARTMENT OF PUBLIC WELFARE AND DEPARTMENT OF HEALTH SURVEYS ARE CONSPICUOUSLY DISPLAYED ON OUR RESPECTIVE PERSONAL CARE OR HEALTHCARE BULLETIN BOARDS.UNITED ZION RETIREMENT COMMUNITY ALSO ENSURES THAT OUR RESIDENTS GET TO BE AS SOCIAL AND ACTIVE AS POSSIBLE. WE OFFER SEVERAL ACTIVITIES AND AMENITIES SUCH AS THE GARDEN CLUB, CULINARY GARDENS, DISPLAY COOKING, WEDNESDAY EVENING SINGING/MUSIC IN THE CHAPEL, AND MONTHLY "NEIGHBORHOOD BREAKFASTS" AMONG OTHER PROGRAMS AND EVENTS.THE COMMUNITY PROVIDES CARE TO RESIDENTS WHO MEET CERTAIN CRITERIA AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE COMMUNITY DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, SUCH AMOUNTS ARE NOT REPORTED AS REVENUES. THE COMMUNITY MAINTAINS RECORDS TO IDENTIFY THE COST OF PROVIDING CHARITY CARE BASED UPON THE DIRECT AND INDIRECT COSTS IDENTIFIED WITH THE SPECIFIC CHARITY CARE PROVIDED. THE LEVEL OF CHARITY CARE PROVIDED AMOUNTED TO APPROXIMATELY $926,000 IN 2013 INCLUDING COSTS RELATED TO THE MEDICAID PROGRAM.FOR 2013 IN THE NURSING FACILITY, 39% OF THE 19,742 RESIDENT DAYS WERE PAID BY MEDICAL ASSISTANCE. IN PERSONAL CARE, 19% OF THE 9,762 DAYS WERE BENEVOLENT FUNDS. 7409599 1 1 0 1 0 0 0 0 1 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 8 0 1 186 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X MATTHEW MUSSER CONTROLLER 7176262071 722 FURNACE HILLS PIKE LITITZ PA 17543 REV LEON EBERLY PRESIDENT 1.00 X X 0 0 0 JOHN E FRY VICE PRESIDENT 1.00 X X 0 0 0 JOHN BASHORE BOARD MEMBER 1.00 X 0 0 0 EDWIN MONTIJO BOARD MEMBER 1.00 X 0 0 0 LUISE READING SECRETARY 1.00 X X 0 0 0 BARRY HOFFER TREASURER 1.00 X X 0 0 0 JESSICA MUSSER BOARD MEMBER 1.00 X 0 0 0 PETE SHAUB BOARD MEMBER 1.00 X 0 0 0 MARY BRICKER ASST. SECRETARY 1.00 X X 0 0 0 PHILIP BURKHOLDER EXECUTIVE DIRECTOR 37.50 X 114091 0 20383 NATHANIEL WEBER CONTROLLER 37.50 X 60295 0 19857 174386 0 40240 1 0 0 0 REHABCARE GROUP 7733 FORSYTH BLVD SUITE 2300 ST LOUIS MO 63105 THERAPY - PT, OT, ST 590931 1 1844 36884 38728 RESIDENT REVENUE 623000 8132726 8132726 8132726 274717 274717 17250 30350 -13100 -13100 -13100 2947892 3009541 -61649 -61649 -61649 374 1844 263 111 111 STATE ASSESSMENT REVENUE 623000 171125 171125 MEAL REVENUE 623000 31502 31502 CASH DISCOUNTS REVENUE 623000 2081 2081 17833 17833 222541 8594074 8132726 0 422620 X 1250 1250 214625 185554 23047 6024 3569595 3179108 388445 2042 57318 48579 8739 615117 550523 64388 206 352840 318015 34232 593 6183 6183 24147 24147 491 491 101992 101992 898786 831214 67572 33188 33188 447431 401352 46079 32599 5230 27369 718839 628971 89868 16779 11732 5047 663911 663911 5906 5906 MEDICAL SUPPLIES 424026 424026 STATE NH ASSESSMENT TAX 132364 132364 BAD DEBTS 82983 82983 LICENSE, FEES, DUES 26164 6617 19547 40800 15247 25553 8467334 7409599 1048870 8865 821491 402000 309153 309714 1012131 986922 18624 23719 164045 159020 13689240 6062794 8085985 7626446 8207682 9892676 74067 67201 405792 423685 19098970 19891383 606709 689847 2360434 2120794 5627832 5176176 655 535 494342 339137 9089972 8326489 X 7634541 8845032 103900 441762 2270557 2278100 10008998 11564894 19098970 19891383 X 126740 1287738 141418 X X 0 1 X 1 0 X 186166 61229 51388 65066 38728 402577 7197622 7218296 7625826 7827301 8132726 38001771 13168 13168 7396956 7279525 7677214 7892367 8171454 38417516 100 125 25 150 400 0 100 125 25 150 400 38417116 185956 252637 257385 266781 291967 1254726 185956 252637 257385 266781 291967 1254726 10815 228502 220044 222541 681902 7582912 7542977 8163101 8379192 8685962 40354144 0.95200 0.95140 0.03110 0.03090 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISC REVENUE - 2010 AMOUNT: $ 10,815. 2011 AMOUNT: $ 38,876. 2012 AMOUNT: $ 13,010. 2013 AMOUNT: $ 17,833. STATE ASSESSMENT REVENUE - 2011 AMOUNT: $ 189,626. 2012 AMOUNT: $ 176,198. 2013 AMOUNT: $ 171,125. MEAL REVENUE - 2012 AMOUNT: $ 29,423. 2013 AMOUNT: $ 31,502. CASH DISCOUNTS - 2012 AMOUNT: $ 1,413. 2013 AMOUNT: $ 2,081. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 491 491 0 PART II-B, LINE 1: UNITED ZION PAYS DUES TO LEADINGAGE AND LEADING AGE PA. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS IS ALLOCABLE TO LOBBYING EXPENSES. THE TOTAL AMOUNT OF DUES PAID BY UNITED ZION THAT IS ALLOCABLE TO LOBBYING IS $491. 0 1 X 2273130 478793 140931 2610992 2166487 4443 289530 187330 2273130 2166487 172438 172438 2166487 2166487 132997 132997 2166487 2230300 510948 574761 2166487 0.00000 0.83150 0.16850 0 0 287955 287955 11938864 5226790 6712074 1321435 836004 485431 140986 140986 7626446 INTEREST RATE SWAP AGREEMENTS 204776 GIFT ANNUITIES 132886 SECURITY DEPOSITS - RENTALS 1475 339137 X 9807806 1287738 7543 1295281 8512525 101992 -20443 81549 8594074 8251910 -113432 -113432 8365342 101992 101992 8467334 PART IV, LINE 2B: RESIDENT FUNDS ARE HELD BY THE FACILITY. DISBURSEMENTS ARE MADE UPON WRITTEN REQUEST BY THE RESIDENT. WHENEVER POSSIBLE RECEIPTS ARE MAINTAINED TO SUPPORT THE CHARGES. FOR ACCOUNTS THAT THE ORGANIZATION HAS OVERSIGHT UPON DISBURSEMENTS ARE MADE TO PAY ELIGIBLE EXPENSES BASED ON SUPPORTED INVOICES (I.E. DOCTORS BILLS, CABLE BILLS, ROOM & BOARD STATEMENTS, ETC.). RESIDENTS WITH FUNDS ARE PROVIDED STATEMENTS QUARTERLY FOR THEIR REVIEW. PART V, LINE 4: THE ENDOWMENT FUND IS HELD TO BENEFIT RESIDENTS WHO MAY NEED FINANCIAL SUPPORT. PART X, LINE 2: THE COMMUNITY FOLLOWS THE PROVISIONS OF ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES WHICH PRESCRIBES A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. THE PROVISION ALSO PROVIDES GUIDANCE ON DE-RECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, AND DISCLOSURES. MANAGEMENT HAS DETERMINED THAT THESE PROVISIONS DO NOT HAVE A MATERIAL IMPACT ON THE FINANCIAL STATEMENTS. THE COMMUNITY'S FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS FOR THE YEARS ENDED DECEMBER 31, 2012, 2011, AND 2010, REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST 7,543. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -20,180. FUNDRAISING EXPENSES -263. PART XII, LINE 2D - OTHER ADJUSTMENTS: UNREALIZED GAIN/LOSS ON INTEREST RATE SWAPS -133,875. RENTAL EXPENSES 20,180. FUNDRAISING EXPENSES 263. A LANCASTER INDUSTRIAL DEVELOPMENT AUTHORITY 231884507 514349BL2 2005-06-14 5785000 REFINANCE OF PRIOR BOND ISSUE 0 0 0 B ELIZABETHTOWN INDUSTRIAL DEVELOPMENT AUTHORITY 550801341 999999999 2007-11-15 2500000 CONSTRUCTION FINANCING 0 0 0 A 2095000 5785000 3947 92242 57380 5631431 2005 1 0 1 1 B 1013824 2500000 31282 2468718 2007 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 1 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 1 0 0 0 1 B 0 0 1 0 1 0 0 0 1 A 1 B 1 FORM 990, PART VI, SECTION A, LINE 7A BOARD MEMBERS ARE ELECTED AT THE GENERAL CONFERENCE OF THE UNITED ZION CHURCH. FORM 990, PART VI, SECTION B, LINE 11 AN ELECTRONIC COPY OF THE FORM 990 IS SENT TO EACH VOTING BOARD MEMBER AND OFFICER IN ADVANCE OF A SCHEDULED BOARD MEETING. THE RETURN REVIEWED IN ADVANCE AND ANY QUESTIONS/COMMENTS/CONCERNS ARE BROUGHT TO THE MEETING. A VOTE TO ACCEPT THE REVIEWED REPORT IS THEN TAKEN AND DOCUMENTED IN THE MINUTES. THE REVIEW PROCESS IS COMPLETE BEFORE THE TRANSMITTAL OF THE RETURN TO THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C ALL EMPLOYEES OF THE UNITED ZION RETIREMENT COMMUNITY RECEIVE A CORPORATE COMPLIANCE INTEGRITY PLAN. THE ORGANIZATION'S CORPORATE COMPLIANCE OFFICER MONITORS ALL POTENTIAL CONFLICTS AS HEAD OF THE CORPORATE COMPLIANCE COMMITTEE. NUMEROUS AUDITS AND CHECKS ARE PERFORMED TO ENSURE COMPLIANCE. THE CORPORATE COMPLIANCE OFFICER REPORTS DIRECTLY AND INDEPENDENTLY TO THE BOARD OF DIRECTORS. BOARD MEMBERS ALSO RECEIVE CORPORATE COMPLIANCE HANDBOOKS AND MONITOR COMPLIANCE AS A GROUP. AT THE BOARD LEVEL, POTENTIAL CONFLICTS ARE DISCUSSED IN BOARD MEETINGS AND DOCUMENTED IN MINUTES. IF A POTENTIAL CONFLICT IS IDENTIFIED, THE BOARD MEMBER OR OFFICER ABSTAINS FROM VOTES RELATED TO THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 A PERFORMANCE ASSESSMENT IS COMPLETED ANNUALLY ON THE EXECUTIVE DIRECTOR BY THE BOARD OF DIRECTORS' EXECUTIVE COMMITTEE. THE COMMITTEE REVIEWS WAGE DATA FROM THE STATE TRADE ASSOCIATION, LEADINGAGE PA, TO CONFIRM THAT ANY COMPENSATION DECISIONS WILL BE WITHIN FAIR MARKET RANGE FOR THE INDUSTRY AND LOCATION. UPON COMPLETION OF THE REVIEW, THE BOARD APPROVES THE EXECUTIVE DIRECTOR'S COMPENSATION. UNITED ZION MAINTAINS A JOB DESCRIPTION AND PERFORMANCE ASSESSMENT FORM FOR EACH STAFF POSITION. A PERFORMANCE ASSESSMENT IS COMPLETED ANNUALLY BY THE EMPLOYEE'S MANAGER AND COMPENSATION INCREASES ARE INCORPORATED INTO THE ANNUAL BUDGET, WHICH IS APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 24,581. MANAGEMENT AND GENERAL EXPENSES 41,903. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 66,484. OTHER CONTRACTED SERVICES : PROGRAM SERVICE EXPENSES 9,492. MANAGEMENT AND GENERAL EXPENSES 223. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,715. THERAPISTS & OTHER SERVICES : PROGRAM SERVICE EXPENSES 32,723. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,723. OTHER MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 623,465. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 623,465. CONTRACTED BUILDING SERVICES : PROGRAM SERVICE EXPENSES 140,953. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 140,953. ANNUAL BOND FEES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,890. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,890. PAYROLL SERVICE : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 21,556. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,556. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST 7,543. UNREALIZED GAIN/LOSS ON INTEREST RATE SWAPS 133,875. FORM 990, PART XII, LINE 2C THE ORGANIZATION DOES NOT HAVE A SPECIFIED AUDIT COMMITTEE. THE FINANCE COMMITTEE AND/OR THE BOARD IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF THE AUDITIED FINANCIAL STATEMENTS. THE EXECUTIVE DIRECTOR WILL RECOMMEND AN INDEPENDENT AUDITOR TO THE BOARD. ONCE THE RECOMMENDATION IS MADE, THE FINANCE COMMITTEE AND/OR BOARD HAS THE FINAL APPROVAL OVER THE RECOMMENDATION.